Provider Demographics
NPI:1124822101
Name:CONNECT OCCUPATIONAL THERAPY, LLC
Entity type:Organization
Organization Name:CONNECT OCCUPATIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DULEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-888-9373
Mailing Address - Street 1:705 E SAINT CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-6404
Mailing Address - Country:US
Mailing Address - Phone:660-888-9373
Mailing Address - Fax:
Practice Address - Street 1:600 W COLLEGE ST STE 116
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65806-1201
Practice Address - Country:US
Practice Address - Phone:660-888-9373
Practice Address - Fax:417-290-2190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty